Mark Klimek Prioritization PDF

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Summary

Nursing Prioritization...

Description

Mark Klimek Prioritization! 15 Questions on NCLEX (before # of questions changed)! Irrelevant

• Age and gender ! • Can’t rely on ABC’s

4 Rules of prioritization

1. Acute beats chronic! Ex: if you have COPD, appendicitis and CHF, which is highest priority?! If using ABC’s COPD would be correct answer! Answer = appendicitis due to being acute! 2. Fresh post-op beats medical or other surgical! First 12 hours always wins!! 3. Unstable beats stable! 4. The more vital the organ the higher the priority! Used as a tie breaker! Not the organ of the diagnosis!

Order of vital organs

• • • • • •

Stable

• • • • •

Brain! Lungs! Heart! Liver ! Kidney ! Pancreas

Use of the word stable (lol)! Chronic illness! Phrase: Post-op greater than 12 hours! Local or regional anesthesia! Lab abnormalities of an A or B level (from another lecture)! • Phrase: ready for discharge, to be discharged or admitted longer than 24 hours ago! • Unchanged assessments! • Experiencing the typical expected signs and symptoms of the dz with which they were diagnosed

Unstable

• • • • • • • • • • • •

Use of the word unstable! Acute illness! Phrase: post op less than 12 hours! General anesthesia ! Lab abnormalities of C or D level! Phrase: not ready for discharge, newly admitted, newly diagnosed or admitted less than 24 hours ago! Changing or changed assessments (something new or different)! Experiencing unexpected signs and symptoms for their dz! Hemorrhage ! High fever over 105! Hypoglycemia ! Pulseness or breathlessness...